Wis. Admin. Code Department of Health Services § DHS 153.05 - Provider approval

(1) COMPREHENSIVE HEMOPHILIA TREATMENT CENTERS.
(a) Condition.
1. To be reimbursed by the program for blood products and supplies, including case management services, provided to program participants, a center treating hemophilia patients shall submit an application to the department and shall comply with the standards in s. DHS 153.08. Within 60 days after receiving a complete application for certification, the department shall either approve or deny the application. If the application is denied, the department shall give the applicant reasons, in writing, for the denial.
2. As part of its application for certification under par. a), a hemophilia treatment center shall execute a written agreement with the department to be a comprehensive hemophilia treatment center and to receive state reimbursement. This agreement shall, unless terminated by either party, remain in full force and effect from the date of execution.
(b) Border state treatment centers. The department may approve a hemophilia treatment center in a state bordering on Wisconsin as a comprehensive hemophilia treatment center if the center is within 100 miles of the Wisconsin border, has a practice which includes providing blood products and supplies to Wisconsin residents and meets the requirements for certification specified in s. DHS 153.08. A border state treatment center is subject to the same rules and contractual agreements as comprehensive hemophilia treatment centers located in Wisconsin.
(c) List of approved sources. A comprehensive hemophilia treatment center shall, upon request of the department, furnish in writing the names and addresses of all vendors of blood products and supplies provided to participants in the hemophilia home care program.
(2) OTHER PROVIDERS. To receive reimbursement, a source approved by a comprehensive hemophilia treatment center shall either:
(a) Provide a copy of a signed agreement with the treatment center to provide blood products or supplies; or
(b) Be limited to reimbursement for provision of case management services.

Notes

Wis. Admin. Code Department of Health Services § DHS 153.05
Cr. Register, December, 1994, No. 468, eff. 1-1-95.

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